Báo cáo y học: "Recently published papers: Heavyweight problems in the intensive care unit" potx

... recently in Intensive Care Medicine add more weight to the arguments against such views [2,3]. In the study by Sakr and colleagues, the European obser- vational Sepsis Occurrence in Acutely Ill ... [4,5]. Commentary Recently published papers: Heavyweight problems in the intensive care unit? Lui G Forni 1,2 1 Department of Critical Care, Worthing General Hospit...

Ngày tải lên: 13/08/2014, 11:23

... of illness/injury they will suffer and what types of medical interventions they must consider [5]. Because medicine is not static, making a prospective determination regarding the types of treatment ... and maintain a collaborative relationship with the health care team while promoting the patient’s particular value system and respecting the individual’s autonomy. Despite the fact...

Ngày tải lên: 13/08/2014, 08:20

... benefit to therapy directed by pulmonary artery catheters over standard care in this patient group. Indeed, there was a higher rate of pulmonary embolism in the catheter group than in the standard ... treatment arm. The physiological goals and treatment priorities in the pulmonary artery catheter group were defined by the investigators before the study began, and assessm...

Ngày tải lên: 12/08/2014, 19:22

... mortality rate than cardiac arrest in succinylcholine-induced hyperkalaemia alone [8]. Unpredictable activity In intensive care patients there is large variability in the activity of plasma cholinesterase, ... an enzyme that metabolizes Commentary Is succinylcholine appropriate or obsolete in the intensive care unit? Leo HDJ Booij Institute for Anaesthesiology, University...

Ngày tải lên: 12/08/2014, 18:21

... nursing, and respiratory therapy staffs of the Intermountain Respiratory Intensive Care Unit and of the Shock- Trauma/Intermountain Respiratory ICU, and to the Respiratory Care Department of the ... to training, explicit methods can be an asset. In an environment that pays little heed to training, they could be a disadvantage. Like any tool, guidelines can be misused. Finally,...

Ngày tải lên: 12/08/2014, 18:21

... utility identified in some studies that is conspicuously lacking in others? The answer may be found in the timing. Much like base excess, the value of the SIG may be related to the time of assay. ... for other injuries in isolation or combination. The interpretation of SBE must therefore incorporate the injury complex into decision-making, perhaps limiting its utility. A...

Ngày tải lên: 12/08/2014, 20:20

... creatine kinase may help to identify CIM, but the peak may be missed in the membranopathy/necrotizing varieties or creatine kinase may not be significantly elevated in cases with loss of myosin filaments. ... sensory loss, and absent reflexes distally in the Figure 1 A flow chart giving an approach to generalized weakness and/or ventilatory failure in the intensive care un...

Ngày tải lên: 12/08/2014, 20:20

... min- imal and the decision is driven by the change in costs. Most of these costs represent the value of obtaining increased capac- ity within the ICU, rather than cash savings. Nevertheless, the results ... chlorhexidine silver sulfadiazine; CR-BSI, catheter related bloodstream infection; ICU, intensive care unit; int/ext, internally and externally coated; MR, minocycline and...

Ngày tải lên: 13/08/2014, 16:20

... demonstrating profound and resistant vascular hyporeactivity. Bolus terlipressin resulted in a progressive increase in mean arterial pressure, allowing withdrawal of noradrenaline (norepinephrine) in ... on serum cytokine concentration. By day 3 the Sequential Organ Failure Assessment score was lower in the hydrocortisone group than in the placebo group (P < 0.05). No diffe...

Ngày tải lên: 12/08/2014, 18:21

... Lung Injury’ [2] and the 2002 Brussels roundtable “Surviving Intensive Care [3] have all finally reached print. Although much contained within these ‘stock takes’ will be familiar, they serve ... disruption in the intensive care unit. Am J Respir Crit Care Med 2001, 163:451-457. 17. Cooper AB, Thornley KS, Young GB, Slutsky AS, Stewart TE, Hanly PJ: Sleep in critically ill pa...

Ngày tải lên: 12/08/2014, 19:22